0001209191-21-028561.txt : 20210427
0001209191-21-028561.hdr.sgml : 20210427
20210427160611
ACCESSION NUMBER: 0001209191-21-028561
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210423
FILED AS OF DATE: 20210427
DATE AS OF CHANGE: 20210427
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NELSON JONATHAN M
CENTRAL INDEX KEY: 0001035233
STATE OF INCORPORATION: RI
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40349
FILM NUMBER: 21858936
MAIL ADDRESS:
STREET 1: C/O PROVIDENCE EQUITY PARTNERS, L.L.C.
STREET 2: 50 KENNEDY PLAZA, 18TH FL
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dominguez Michael J
CENTRAL INDEX KEY: 0001320307
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40349
FILM NUMBER: 21858932
MAIL ADDRESS:
STREET 1: C/O PROVIDENCE EQUITY PARTNERS, INC.
STREET 2: 50 KENNEDY PLAZA
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Phillips J. David
CENTRAL INDEX KEY: 0001476657
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40349
FILM NUMBER: 21858935
MAIL ADDRESS:
STREET 1: C/O PROVIDENCE EQUITY PARTNERS
STREET 2: 50 KENNEDY PLAZA, 18TH FLOOR
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Providence Butternut Co-Investment L.P.
CENTRAL INDEX KEY: 0001831271
STATE OF INCORPORATION: E9
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40349
FILM NUMBER: 21858937
BUSINESS ADDRESS:
STREET 1: PROVIDENCE EQUITY PARTNERS L.L.C.
STREET 2: 50 KENNEDY PLAZA
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
BUSINESS PHONE: 401-751-1700
MAIL ADDRESS:
STREET 1: PROVIDENCE EQUITY PARTNERS L.L.C.
STREET 2: 50 KENNEDY PLAZA
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Providence Equity GP VII-A L.P.
CENTRAL INDEX KEY: 0001857469
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40349
FILM NUMBER: 21858939
BUSINESS ADDRESS:
STREET 1: C/O PROVIDENCE EQUITY PARTNERS, L.L.C.
STREET 2: 50 KENNEDY PLAZA, 18TH FL
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
BUSINESS PHONE: 401-751-1700
MAIL ADDRESS:
STREET 1: C/O PROVIDENCE EQUITY PARTNERS, L.L.C.
STREET 2: 50 KENNEDY PLAZA, 18TH FL
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Providence VII U.S. Holdings L.P.
CENTRAL INDEX KEY: 0001854132
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40349
FILM NUMBER: 21858940
BUSINESS ADDRESS:
STREET 1: C/O PROVIDENCE EQUITY PARTNERS, L.L.C.
STREET 2: 50 KENNEDY PLAZA, 18TH FL
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
BUSINESS PHONE: 401-751-1700
MAIL ADDRESS:
STREET 1: C/O PROVIDENCE EQUITY PARTNERS, L.L.C.
STREET 2: 50 KENNEDY PLAZA, 18TH FL
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tabet Karim A
CENTRAL INDEX KEY: 0001857194
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40349
FILM NUMBER: 21858934
MAIL ADDRESS:
STREET 1: C/O PROVIDENCE EQUITY PARTNERS, L.L.C.
STREET 2: 50 KENNEDY PLAZA, 18TH FL
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tisdale Andrew A
CENTRAL INDEX KEY: 0001857411
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40349
FILM NUMBER: 21858933
MAIL ADDRESS:
STREET 1: C/O PROVIDENCE EQUITY PARTNERS, L.L.C.
STREET 2: 50 KENNEDY PLAZA, 18TH FL
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Providence Public Master L.P.
CENTRAL INDEX KEY: 0001857463
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40349
FILM NUMBER: 21858938
BUSINESS ADDRESS:
STREET 1: C/O PROVIDENCE EQUITY PARTNERS, L.L.C.
STREET 2: 50 KENNEDY PLAZA, 18TH FL
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
BUSINESS PHONE: 401-751-1700
MAIL ADDRESS:
STREET 1: C/O PROVIDENCE EQUITY PARTNERS, L.L.C.
STREET 2: 50 KENNEDY PLAZA, 18TH FL
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: DoubleVerify Holdings, Inc.
CENTRAL INDEX KEY: 0001819928
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370]
IRS NUMBER: 822714562
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 233 SPRING STREET
CITY: NEW YORK
STATE: NY
ZIP: 10013
BUSINESS PHONE: 212-631-2111
MAIL ADDRESS:
STREET 1: 233 SPRING STREET
CITY: NEW YORK
STATE: NY
ZIP: 10013
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-04-23
0
0001819928
DoubleVerify Holdings, Inc.
DV
0001854132
Providence VII U.S. Holdings L.P.
C/O PROVIDENCE EQUITY PARTNERS L.L.C.
50 KENNEDY PLAZA, 18TH FL
PROVIDENCE
RI
02903
0
0
1
0
0001857469
Providence Equity GP VII-A L.P.
C/O PROVIDENCE EQUITY PARTNERS L.L.C.
50 KENNEDY PLAZA, 18TH FL
PROVIDENCE
RI
02903
0
0
1
0
0001857463
Providence Public Master L.P.
C/O PROVIDENCE EQUITY PARTNERS L.L.C.
50 KENNEDY PLAZA, 18TH FL
PROVIDENCE
RI
02903
0
0
1
0
0001831271
Providence Butternut Co-Investment L.P.
C/O PROVIDENCE EQUITY PARTNERS L.L.C.
50 KENNEDY PLAZA, 18TH FL
PROVIDENCE
RI
02903
0
0
1
0
0001035233
NELSON JONATHAN M
C/O PROVIDENCE EQUITY PARTNERS L.L.C.
50 KENNEDY PLAZA, 18TH FL
PROVIDENCE
RI
02903
0
0
1
0
0001476657
Phillips J. David
C/O PROVIDENCE EQUITY PARTNERS L.L.C.
50 KENNEDY PLAZA, 18TH FL
PROVIDENCE
RI
02903
0
0
1
0
0001857194
Tabet Karim A
C/O PROVIDENCE EQUITY PARTNERS L.L.C.
50 KENNEDY PLAZA, 18TH FL
PROVIDENCE
RI
02903
0
0
1
0
0001857411
Tisdale Andrew A
C/O PROVIDENCE EQUITY PARTNERS L.L.C.
50 KENNEDY PLAZA, 18TH FL
PROVIDENCE
RI
02903
0
0
1
0
0001320307
Dominguez Michael J
C/O PROVIDENCE EQUITY PARTNERS L.L.C.
50 KENNEDY PLAZA, 18TH FL
PROVIDENCE
RI
02903
0
0
1
0
Common Stock
2021-04-23
4
S
0
5992869
D
90148070
D
Common Stock
2021-04-23
4
C
0
871520
0.00
A
871520
I
By Providence Public Master L.P.
Common Stock
2021-04-23
4
C
0
581014
0.00
A
581014
I
By Providence Butternut Co-Investment L.P.
Series A Preferred Stock
2021-04-23
4
C
0
2614561
0.00
D
Common Stock
2614561
0
I
By Providence Public Master L.P.
Series A Preferred Stock
2021-04-23
4
C
0
1743041
0.00
D
Common Stock
1743041
0
I
By Providence Butternut Co-Investment L.P.
The securities reported represent 4,881,758 shares of common stock of DoubleVerify Holdings, Inc. (the "Issuer") sold by Providence VII U.S. Holdings L.P. ("Providence VII") in the Issuer's initial public offering (the "IPO") at a net price per share of $25.38 after deducting underwriting discounts and commissions and 1,111,111 shares of the Issuer's common stock sold by Providence VII in a secondary transaction concurrent with the IPO at a price per share of $27.00.
The securities reported are held directly by Providence VII and may be deemed to be beneficially owned by Providence Equity GP VII-A L.P. ("Providence GP") because Providence GP is the general partner of Providence VII. Jonathan M. Nelson, R. Davis Noell, J. David Phillips, Karim A. Tabet, Andrew A. Tisdale and Michael J. Dominguez control Providence Holdco (International) GP Ltd. ("Holdco"), which is the general partner of Providence Fund Holdco (International) L.P. Providence Fund Holdco (International) L.P. is the general partner of PEP VII-A International Ltd., which is the general partner of Providence GP.
Jonathan M. Nelson, R. Davis Noell, J. David Phillips, Karim A. Tabet, Andrew A. Tisdale and Michael J. Dominguez may be deemed to exercise voting and investment power over, and thus may be deemed to beneficially own, the securities held by Providence VII due to their relationships with Holdco. Each of Providence GP, Jonathan M. Nelson, R. Davis Noell, J. David Phillips, Karim A. Tabet, Andrew A. Tisdale and Michael J. Dominguez hereby disclaims beneficial ownership of the shares held by Providence VII, except to the extent of its or his pecuniary interest therein, and this form shall not be construed as an admission that any such reporting person is the beneficial owner of any of the securities reported on this form.
R. Davis Noell has separately filed a Form 4.
The securities reported are held directly by Providence Public Master L.P., which had the right to acquire 871,520 shares of common stock of the Issuer upon the conversion of 2,614,561 shares of Series A Preferred Stock at a conversion rate of one-third of a share of common stock for every three shares of Series A Preferred Stock. Each outstanding share of Series A Preferred Stock automatically converted into one-third of a share of common stock of the Issuer for no additional consideration upon the completion of the IPO. Providence Public Master L.P. is an investment fund affiliated with Providence VII and thus Providence VII may be deemed to beneficially own the securities held by Providence Public Master L.P.
The securities reported are held directly by Providence Butternut Co-Investment L.P., which had the right to acquire 581,014 shares of common stock of the Issuer upon the conversion of 1,743,041 shares of Series A Preferred Stock at a conversion rate of one-third of a share of common stock for every three shares of Series A Preferred Stock. Each outstanding share of Series A Preferred Stock automatically converted into one-third of a share of common stock of the Issuer for no additional consideration upon the completion of the IPO. Providence Butternut Co-Investment L.P. is an investment fund affiliated with Providence VII and thus Providence VII may be deemed to beneficially own the securities held by Providence Butternut Co-Investment L.P.
Providence VII U.S. Holdings L.P.: /s/ Sarah N. Conde, Senior Legal Counsel & Chief Compliance Officer
2021-04-27
Providence Equity GP VII-A L.P.: /s/ Sarah N. Conde, Senior Legal Counsel & Chief Compliance Officer
2021-04-27
Providence Public Master L.P.: /s/ Sarah N. Conde, Senior Legal Counsel & Chief Compliance Officer
2021-04-27
Providence Butternut Co-Investment L.P.: /s/ Sarah N. Conde, Senior Legal Counsel & Chief Compliance Officer
2021-04-27
/s/ Sarah N. Conde, as Attorney-in-Fact for Jonathan M. Nelson
2021-04-27
/s/ Sarah N. Conde, as Attorney-in-Fact for J. David Phillips
2021-04-27
/s/ Sarah N. Conde, as Attorney-in-Fact for Karim A. Tabet
2021-04-27
/s/ Sarah N. Conde, as Attorney-in-Fact for Andrew A. Tisdale
2021-04-27
/s/ Sarah N. Conde, as Attorney-in-Fact for Michael J. Dominguez
2021-04-27